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Cat in the Hat 🐈‍⬛ 🎩 🇬🇧 Profile picture
@_CatintheHat
Feb 4, 2024 • 11 tweets • 6 min read • Read on X
Scrolly
Consultant Cardiologist, Dr Rae Duncan (@Sunny_Rae1), was interviewed today on BBC’s Sunday Show.

In this thread 🧵, I’ve pulled out some of the key highlights.

Kudos to Martin Geissler (@mmgeissler) who had clearly done his homework in advance & asked excellent questions.

1/
Dr Rae Duncan kicks off by explaining that Covid is not ‘just a cold’.

She explains that, if we think of Covid simply in terms of the acute stage of infection, we are only looking at the tip of the iceberg…

…but the bulk of the iceberg lies beneath the surface.

2/
Martin: “In Canada, they’re finding if you’ve had 3 or more Covid infections, you’ve got a 38% chance of getting Long Covid. Can that be right?”

Dr Rae Duncan explains how many studies show that, the more times you get infected, the higher your risk of developing Long Covid.

3/
Martin: “Can you just as easily get organ damage, brain issues, heart issues from Long Covid if you’re young & healthy?”

Dr Rae Duncan explains how EVERYONE is at risk. Many of her Long Covid patients were previously young, fit & healthy; some were even amateur athletes.

4/
Dr Rae Duncan explains how this Winter has been devastating for some of her patients as so many have been reinfected with Covid…

…and all the hard work put in to try to get them better, to get them back to work or back to school, has all been completely undone again.

5/
Martin: “Are we taking this seriously enough as a country?”

Dr Rae Duncan explains how our government need to start listening to the WHO advice.

If we don’t get a handle on the high Covid transmission rates, hundreds of millions are going to require longer term care.

6/
Dr Rae Duncan explains how studies have repeatedly shown that cleaning the air (by improving ventilation & air filtration) can significantly reduce Covid outbreaks in schools & improve school attendance rates…

…and it protects against other airborne pathogens too.

7/
Martin: “Are we too laissez-faire about Covid at the moment?”

Dr Rae Duncan explains how she’s very concerned about the longer term implications of Long Covid.

Economic modelling already shows that Long Covid might be costing the UK economy billions of pounds EVERY YEAR.

8/
Dr Rae Duncan wraps up by explaining that we have to learn to live with Covid SAFELY…

…and that should start with basic measures like clean air in schools & hospitals.

Finally, Martin gives a poignant anecdote about one of his camera crew who is suffering from Long Covid.

9/
A massive thank you to Dr Rae Duncan (@Sunny_Rae1), Martin Geissler (@mmgeissler) and @BBCScotland for this brilliant interview, raising awareness about the devastating impact of Long Covid.

You can watch the full show at the link below:

🔗

/ENDbbc.co.uk/programmes/m00…
UPDATE: As requested, here’s a YouTube link to the full interview, kindly posted by @ABrokenBattery.

BBC Scotland Sunday Show (4 Jan 2024)
Martin Geissler (@mmgeissler) interviews Consultant Cardiologist Dr Rae Duncan (@Sunny_Rae1) about Long Covid.

🔗
Image

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More from @_CatintheHat

Cat in the Hat 🐈‍⬛ 🎩 🇬🇧 Profile picture
Jan 30
I’ve been reflecting on this letter from Minister @GwynneMP ⬇️

The letter which says the government supports Dr Lisa Ritchie’s view that “Covid is not predominantly transmitted through the airborne route”.

I suspect there may be a little more to it than meets the eye… 🧐

/1 Image
You see, here’s the thing:

Letters like that don’t get written in a vacuum.

Letters like that are usually drafted on behalf of Ministers by a civil servant who has expertise in the subject matter.

So I’m left wondering: who drafted it?

Who is advising Mr Gwynne?

/2
Dr Ritchie’s testimony at the Covid Inquiry has been widely criticised as her views conflicted so starkly with scientific evidence presented by independent experts like Prof Beggs.

So it seems odd that the letter is written in a way which so emphatically supports her stance.

/3
Read 24 tweets
Cat in the Hat 🐈‍⬛ 🎩 🇬🇧 Profile picture
Jan 19
UK COVID INQUIRY

In this video, I’ve compiled crucial evidence from expert witness Prof Clive Beggs where he confirms:

🔎 Covid is airborne
🔎 Covid is predominantly spread via airborne aerosols (not droplets)
🔎 Breathing & talking generate significant amounts of aerosols.
Here’s a little more detail from Prof Beggs’ testimony where he again confirms that the BULK of the SARS-CoV-2 virus is carried in the small airborne aerosols, NOT in the larger droplets which rapidly fall to the ground.

This is CRUCIAL for infection control purposes.
@CliveBeggs The role of those in charge of infection control in hospitals is to “translate scientific evidence […] into practical IPC guidelines”.

The scientific evidence is clear that Covid is AIRBORNE…

…so why does the IPC guidance STILL not protect against airborne transmission?
Read 10 tweets
Cat in the Hat 🐈‍⬛ 🎩 🇬🇧 Profile picture
Jan 14
As Module 4 of the @CovidInquiryUK begins, attention turns to the Covid vaccines…

And it just happens that UKHSA’s annual accounts for 2023/24 have recently been published, revealing that a staggering £1.09 BILLION were wasted on unused vaccines during 2023/24.

🧵 Image
For me, one of the most shocking things was in Autumn 2023, when the govt bought enough vax doses for ALL over-50s…

…but then decided to restrict eligibility, denying millions of people under the age of 65 the chance to be protected.

theguardian.com/society/2023/a…Image
The reason given for restricting vaccine eligibility was because it would not be “cost-effective” to offer it more widely.

However, a detailed analysis of their ‘bespoke cost-effectiveness analysis’ revealed a number of flaws in the methodology ⬇️

Read 31 tweets
Cat in the Hat 🐈‍⬛ 🎩 🇬🇧 Profile picture
Jan 9
This is the Chief Exec of @NHSEngland ⬇️

She’s “really worried about the toll that flu & other viruses are taking on our patients and on services across the NHS.”

Yet, despite the fact these viruses are mostly AIRBORNE, there are NO airborne infection controls in hospitals. 🧵 Image
Make it make sense!!

The Covid Inquiry module which specifically investigated the impact of Covid on healthcare systems ended just before Christmas and some very clear recommendations emerged…

WHY on earth have these not been made the absolute top priority and implemented?
For further details on the flawed chain of decisions which led to the utterly inadequate infection control guidance we have in hospitals today, please have a read of my thread below where I walk you through the key evidence which emerged from module 3 of the Covid Inquiry ⬇️
Read 7 tweets
Cat in the Hat 🐈‍⬛ 🎩 🇬🇧 Profile picture
Jan 8
It’s a real shame that comments on this thread ⬇️ have been shut down so I’m not able to respond to the reply from @SpeechAndLangUK about the impact of lockdowns on speech & language for children born during lockdowns.

Here’s what I would have said if I’d been able to reply… 🧵 Image
I would have said how pleased I am that the doc they shared from @RCSLT acknowledges the major contribution of Long Covid towards the issue:

“Long COVID needs identified by SLTs included dysphagia, dysphonia, dysarthria, aphasia, cognitive communication disorder & dyspraxia.” Image
I’d also have pointed out that the RCSLT document dates back to Sept 2021 & some of the figures are now significantly out of date.

For example, the quoted figure of 1 million Long Covid sufferers has TRIPLED since 2021…
Read 9 tweets
Cat in the Hat 🐈‍⬛ 🎩 🇬🇧 Profile picture
Jan 3
This situation makes me so angry.

It should NOT be the responsibility of individual NHS Trust CEOs like @Nickhulme61 to have to plead with the public to wear masks in hospitals.

There should be clear national guidance, as advised by the IPC experts at the @covidinquiryuk…

🧵 Image
And it shouldn’t just be patients & visitors wearing masks… all NHS staff should be wearing them too.

And not just loose-fitting surgical masks…

…they should be wearing FFP3 masks which are the only class of mask acceptable to HSE for use against infectious aerosols.
This chart neatly summarises the difference in protection between a surgical masks & N95 masks (N95 is the US standard which is broadly equivalent to the EU FFP2 standard).

Fitted filtration efficiencies:
😷 Surgical mask: 38.1%
😷 N95 respirator: 98.5%

jamanetwork.com/journals/jamai…Image
Read 4 tweets

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